Danzi J T, Farmer R G, Sullivan B H, Rankin G B
Gastroenterology. 1976 Jan;70(1):9-13.
The clinical, roentgenographic and endoscopic findings in 14 patients with Crohn's disease of the stomach and/or duodenum are described. To date, this is the largest series of endoscopic findings of Crohn's disease of gastroduodenal region. The endoscopic findings include (1) mucosal nodularity or "cobblestoned" mucosa; (2) multiple aphthous-like ulcerations and/or linear ulcerations; (3) thickening of the antral folds; (4) antral narrowing with evidence of hypoperistalsis; (5) duodenal strictures. The diagnosis of gastric duodenal Crohn's disease is achieved by combining recognition of clinical features and roentgenographic and endoscopic features. The endoscopic features correlate well with the roentgenographic findings in our 14 patients. Tissue for histological diagnosis of Crohn's disease of the gastroduodenal area is rarely obtained by endoscopic biopsy, but peroral suction biopsy specimens may increase the rate of histological confirmation.
本文描述了14例胃和/或十二指肠克罗恩病患者的临床、放射学及内镜检查结果。迄今为止，这是关于胃十二指肠区域克罗恩病内镜检查结果的最大病例系列。内镜检查结果包括：（1）黏膜结节或“鹅卵石样”黏膜；（2）多发口疮样溃疡和/或线状溃疡；（3）胃窦皱襞增厚；（4）胃窦狭窄伴蠕动减弱；（5）十二指肠狭窄。胃十二指肠克罗恩病的诊断需结合临床特征、放射学及内镜特征。在我们的14例患者中，内镜特征与放射学检查结果高度相关。胃十二指肠区域克罗恩病的组织学诊断很少通过内镜活检获取组织，但经口吸引活检标本可能会提高组织学确诊率。
